CT Lin MD, CMIOProfessor, University of Colorado SOM

Practice Transformation Addresses MD Burnout

2.5 MA : 1 MD teams

Blaming computer.Poor room setup.

Doc ain’t happy,Ain’t nobody happy.

The EHR Burden, Solutions

EHR SprintRe-train EHR, custom tools

TransformStaff ratio, teamwork

Care Redesign

•2.5:1 MA:MD ratio•MA scribe•Close care gaps• Extended rooming• “Pend” Rx, Lab, Vaccine• Share Inbasket tasks• Experience in 20 clinics• Univ. of Utah’s Care by Design Model®

Care Redesign Model

• Care Redesign philosophy

• Epic skills re-training

• Scribing and X-files “in-room documentation support”

• Vitals, venipuncture, injections

• Medication Reconciliation & Rx refills

• Health Maintenance: vaccines, POC labs, Monofilament

• Protocols and pended meds, labs, referrals

• Inbasket support

• Skills exam

EHR Workflows: 10 day MA Academy

Access Improved

# New patient appointments per month

Charges improved;Per-visit cost unchanged

Provider Burnout Decreased

Quality metrics improved

I was blown away by the service … 0 forms, 0 time wasted

I don't feel like a passive spectator anymore, I'm an integral part of my healthcare team

I have never in my 66 years felt so well-cared about and for

Joy in PracticePatients

I can help get patients the care they need

We’re part of the patient’s care more than ever

We’re having fun at work again and the work is done at the end of the day

Joy in Practice—Medical Assistants

I don’t have to do it all. Patient interactions are more connected

I barely touch the computer in the room anymore

I’m done with all my notes by 5:30 or 6:00. That’s never happened!

It’s been a game-changer …it allows me to stay in practice and be happy

Joy in PracticeProviders

Google:”Team Based Lyon”

www.aafp.org

We improve physician and team wellness and effectiveness by building

extraordinary relationships and innovative tools

Our Informatics Vision

CT.Lin@UCDenver.edu Thank you!

Everyone knows … its Becky(apologies to Windy: the Association)Who's checking in my patients in clinic?

Reconciling meds and living wills, yeahWho’s reaching out to test the monofilamentEveryone knows it’s Becky.

Who’s tracking down the immunizations?Smilin' at everybody she seesWho's sitting down to scribe my H & PEveryone knows it's Becky.

And Becky makes sure to seeThat you get colon-o-sco-pyAnd Becky makes sure you getYour nicotine patch!Your nicotine patch!

And Becky makes sure her docGets home before 6 o’clockAnd Becky makes it all singOur clinic scores Are outstanding!

Who’s tracking down the immunizations? Smilin' at everybody she seesWho's sitting down to scribe my H&PEveryone knows it's Becky.